Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan Deros

Individual provider Physical Therapist · NPI 1881579043

Logan Deros is a Physical Therapist in Private Practice in Southbury, Connecticut. Qualified in 2025, 1 year ago. Practices with Anb-Ptsma Holdings Inc, a 184-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2025
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Practice location Address checks out

775 Main St S Unit 70
Southbury, CT 06488-2271
Phone: (203) 437-6155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15056 (CT)

Record details

NPI number1881579043
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address47 N Main St, West Hartford, CT 06107-1926

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Anb-Ptsma Holdings Inc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southbury